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Trump Touts Fourth Perfect MoCA Score and Urges Mandatory Tests for Candidates

A White House memo released Friday described the president as in excellent health, which raises questions about using a brief dementia screen as proof of intelligence.

Overview

  • A three-page White House memorandum published Friday summarized President Trump’s May physical at Walter Reed and said he completed the Montreal Cognitive Assessment with a 30 out of 30 score and that he “remains in excellent health.”
  • On Sunday the president posted that this was his fourth consecutive perfect MoCA result and called on Congress to require high‑difficulty cognitive tests for all presidential and vice‑presidential candidates.
  • The MoCA is a roughly 10‑minute, 30‑point screening tool made to detect mild cognitive impairment and early dementia; clinicians say scores of 26 or higher are normal and that a 30 is uncommon but achievable, not a measure of raw intelligence.
  • Medical commentators flagged clinical questions about repeatedly administering the same screening and about extra imaging reported in the exam, and the memo also noted minor findings and prevention advice including bruising on the hands, slight lower‑leg swelling, weight at 238 pounds, a recommendation for low‑dose aspirin, and counseling on diet and activity.
  • Any move to mandate cognitive testing for national candidates would require new legislation or constitutional action, and coverage split reflects partisan framing with conservative outlets emphasizing fitness and other outlets stressing the test’s limits and clinicians’ concerns.